MR #12.27: CountyCare for Cook County Residents

Summary:

Effective 11/01/12, CountyCare is a new medical benefits program authorized under a federal waiver from the Centers for Medicare and Medicaid Services;

Three month retroactive coverage (backdate) will be available to applicants; however retroactive coverage cannot begin prior to 11/01/12;

Eligibility is limited to Cook County residents between ages 19-64;

Persons who qualify for CountyCare are not otherwise eligible for full medical benefits (except for Veterans Care which is maintained in a central office);

Medical services are provided by a network that includes Cook County Health and Hospitals System (CCHHS) providers and a designated group of CountyCare network partners;

A new Family Community Resource Center (FCRC) is created to process applications and maintain the active cases for persons receiving medical services through CountyCare;

CountyCare cases will be authorized through the Automated Intake System (AIS) as category 94;

Some references to General Assistance (GA) are removed with this release. General Assistance ended 07/01/12. A manual release removing the remaining references to GA is forthcoming; and

Some references to FamilyCare Share, Premium and Rebate for parents and caretaker relatives are removed with this release. FamilyCare for parents caretaker relatives with income greater than 133% of the federal poverty level (FPL) ended 07/01/12. These parents may still qualify for Family Health Spenddown. A manual release removing the remaining references is forthcoming.